| NPI | 1205975778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA S LISCHIN Owner Manager Pharmacist 910-897-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 09283) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 09283) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2017-08-30 |